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Home My WebLink AboutZ-35600Town of Southold Annex 54375 Main Road Southold, New York 11971 No: 35600 5/15/2012 PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 5/15/2012 THIS CERTIFIES that the structure(s) located at: SCTM #: 473889 Sec/Block/Lot: Subdivision: conforms substantially to the requirements for a 3125 Grand Ave, Mattituck 107.-1-21 FfledMapNo. Lot No. built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35600 dated 5/15/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with cement block patio.* NOTE: BP 4547 14 x 16 addition COZ-3774; BP 4935 16 x 8 addition COZ-4131; BP 4936 accessory garage COZ-4132; BP 33155 screened porch addition to accessory garage; BP 35512 repairs to dwelling COZ-34775. The certificate is issued to Utter Irma Judith Irvc Tr (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. BUILDING DEPARTMENT TOVCN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3125 Grand Ave, Mattimck SUFF. CO. TAX MAP NO.: 107.-1-21 NAME OF OVCNER(S): Irma Judith Udder OCCUPANCY: ADMITTED BY: Paul Loeb, Real Estate SOURCE OF REQUEST: Utter Irma Judith Irvc Tr SUBDIVISION: DATE: 5/15/2012 DWELLING: TYPE OF CONSTRUCTION: FOUNDATION: TOTAL ROOMS: 1ST FLR.: BATHROOM(S): 2 PORCH TYPE: BREEZEWAY: ~ DOMESTIC HOTWATER: TYPE HEAT: propane # BEDROOMS: 2 OTHER: front entry room cement block 2 2ND FLR.: TOILET ROOM(S): DECK TYPE: FIREPLACE: yes TYPE HEATER: WARM AIR: X # KITCHENS: I # STORIES: 1 # EXITS: 2 CELLAR: CRAWL SPACE: 1/4 3RD FLR.: UTILITY ROOM(S): PATIO TYPE: cement block 1 GARAGE: propane AIR CONDITIONING: HOT WATER: BASEMENT TYPE: 3/4 unfinished ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: SWlMMING POOL: OTHER: STORAGE, TYPE OF CONST: GUEST, TYPE OF CONST: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: TIME START: 5/14/2012 END: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCh This application must be filled in by typewriter or ink and submitted to the Building Deparl MAY - 9 2012 A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A proparly completed application and consent to inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. May 4 , 2012 New Construction: Location of Property: 3125 Old or Pre-existing Building: Grand Avenue (check one) Mattituck House No. Street Hamlet OwnerorOwnersofProperty: Charles Davey Utter. as Trustee of the Irma Judith Utter Irrevocable Suffolk County Tax Map No 1000, Section Subdivision 107.00 Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 Block 01.00 Lot 021.000 Filed Map. Lot: Applicant: Underwriters Approval: Trust Final Certificate: x (check one) Applicant Signature William H. Price, Jr. CONSENT TO INSPECTION William H. Price, Jr., as Agent for Charles Davey Utter. Trustee , the undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, locatedat 3125 flr~ncl Avonno: M~r~-qr.elt: Noxa Yn'rk- which is shown and designated on the Suffolk County Tax Map as District 1000, Section 105 , Block 01 , Lot 021 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: App1 ie~r'~an for Certificate of Occupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereom to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: May 4 , 2012 (Signature) William H. Price, Jr. (Print Name) (Signature) (Print Name) N SURVEY OF PROPERTY A T MA TTITUCK TO ~rN OF $OUTHOLD SUFFOLK COUNTY, N.Y. 1000-107-01-R1 SCALE' 1~ BO' APRIL 25, 2012 CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE CO. TITLE NO. 5019-558962 F,,ILLIAM A. BENNEF[,,lll JAN D. BENNETT ASSOCIATED MORTGAGE BANKERS, INC. AREA = 21,088 $0. PT. or 0.48 ACRI~ · = MONUMENT ANY ALTERATION OR ADDITION TO 17~1S SURVEY IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. / ~ECONIC ~EYORS, (651) 765-5020 FAX (651) 765-1797 P.O. BOX 909 12J0 TRAVELER STREET SOUTHOLD, N.K 11971 12-155 3125 Grand Avenue, Mattituck, NY SCTM#1000-107.00-O1.00-021.000 May 4, 2012 Enclosed please find an Application for Certificate of Occupancy, Consent to Inspection, Survey, and my check in the amount of $100.00 for your fee. Please contact the real estate broker for the inspection; i.e., Paul Loeb, Lloyd's Realty, 477-2220 x12. Thank you. Town of Southold Building Dept. P.O. Box 1179 Southold, New York 11944 WILLIAM H. PRICE JR. ATI'ORNEY AT LAW P. o. BOX 149 - 828 FRONT STREET GREENPORT, N. Y. 11944 PHONE: (631) 477-1016 =)oo ?- /- 4/ OWNER LAND TOWN OF SOUTHOLD PROPERTY I ~r~ RECORD CARD w ~'~'oF eUlLD~N~ MISC. ~kt. Va~ LOT ~/~ ~/~ ) NE~V FARM Acre Tillable I Tilloble 2 Vdlable 3 FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK Porch Porch ~.~. Total ! ~,d'. Walls ~e Roof P, ooms Ist Floo~ Rooms 2nd Fl~or IN. B. I LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner-tenant) KEY AVAILABLE: ....... SUFF. CO. TAX MAP NO. 1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: ~ ~r'fi~-t~STORIES: FOUNDATION: ~y.,(.,O~"'. /~<-/cz__h BASEMENT: _~__ # OF BEDROOMS: 1ST FLR: ,2 - 2ND FLR: ~ -# EXITS: CRAWL SPACE: ~_~ 3RD FLR: BATHROOM(S): ~-- TOILET ROOM(S): ~ UTILITY ROOM: PORCH TYPE: ~- DECK, TYPE: ~ PATIO, TYPE: ~ BREEZEWAY: ~ FIREPLACE: ~ GARAGE: DOMESTICHOTWATER:_~.4 TYPEHEATER: ~~IRCONDITIONING: TYPE HEAT: f,~/Prkfl~/&~ WARM AIR: ~ HOTWATER: # OF KITCHENS: ~ FINISHED BASEMENT: YES NO ~ , TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENT. ION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: TIMESTART: C "50 ' / END: INSPECTED BY: